Application For Employment

Personal Information

Are you prevented from lawfully becoming employed in this country due to Visa or immigration status?

Yes
No

Employment Desired

Position:

Date you can start:

Salary desired:

Are you employed now?

Yes
No

If so, may we inquire of your present employer?

Yes
No

Ever applied to this company before?

Yes
No

Where / When?

Referred by:

Education

High School:

School Name and Location:

Years Attended:

Did You Graduate:

Subjects Studied:

College:

School Name and Location:

Years Attended:

Did You Graduate:

Subjects Studied:

Trade, Business or Correspondence School:

School Name and Location:

Years Attended:

Did You Graduate:

Subjects Studied:

General:

US Military or Naval Service:

Special Skills, Licenses, Etc.:

Employment History

Employer 1:

Date Mon. & Yr. (From/To):

Name and Address of Employer:

Salary:

Position:

Reason for Leaving:

Employer 2:

Date Mon. & Yr. (From/To):

Name and Address of Employer:

Salary:

Position:

Reason for Leaving:

Employer 3:

Date Mon. & Yr. (From/To):

Name and Address of Employer:

Salary:

Position:

Reason for Leaving:

Employer 4:

Date Mon. & Yr. (From/To):

Name and Address of Employer:

Salary:

Position:

Reason for Leaving:

References

Reference 1:

Name:

Address:

Business:

Years Acquainted:

Reference 2:

Name:

Address:

Business:

Years Acquainted:

Reference 3:

Name:

Address:

Business:

Years Acquainted:

Emergency Contact

In case of emergency notify:

Emergency home:

Emergency cell:

Emergency work:

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentation are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.
I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
I understand that no company representative, other than its President or Vice President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

Note: CDL Drivers, if considered for employment you will be asked to provide a copy of license and DOT medical card.

Founded in 1982, Supreme Industries is a comprehensive specialty contractor whose primary goal is to provide industry expertise to complex Right of Way clearing, access road and site preparation projects with a commitment to deliver quality results that are completed on schedule and on budget...read more